Active NPI
Valerie Zamudio, MD
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A120903
- Practice address
- 1720 Cesar Chavez Ave.
Los Angeles, CA 90033 - Phone
- (323) 268-5000
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A120903 | CA | Primary |
Addresses
Primary practice location
1720 Cesar Chavez Ave.
Los Angeles, CA 90033
Mailing address
1720 Cesar Chavez Ave.
Los Angeles, CA 90033
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1340 15TH St
Santa Monica, CA 90404-1802
Phone (310) 451-9706
1817 W Beverly Blvd
Montebello, CA 90640-3935
Phone (323) 721-5524
2928 E Cesar E Chavez Ave
Los Angeles, CA 90033-3110
Phone (323) 266-6700
Hospital & facility affiliations
- Monterey Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 325 |
| Removal of skin lesions | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120903 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Biologics, Inc. | Current | Accepting new patients | |
| Emmanuel Medical Corporation | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients |
Locations
7301 State St
Huntington Park, CA 90255
Phone (323) 277-4779
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255
3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034
2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700
1817 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-5524
1817 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (323) 721-7390
941 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 458-8401
6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200
2108 N St
Sacramento, CA 95816
Phone (951) 719-7050
1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700
5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions
- valerie.zamudio.p1@direct.ccchcenter.nextgenshare.com
- https://api.platform.athenahealth.com/1509/brand/1/csg/1/fhir/r4
- valerie.zamudio.1@1509.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- PACE Provider Organization
- Los Angeles, CA
- NPI 1215113964
-
- Surgery Physician
- Los Angeles, CA
- NPI 1104018423
-
- Geriatric Medicine (Family Medicine) Physician
- Montebello, CA
- NPI 1518043264
-
- Surgery Physician
- Sacramento, CA
- NPI 1376386763
-
- General Practice Physician
- Glendale, CA
- NPI 1902444623
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1316729403
-
- Surgery Physician
- Los Angeles, CA
- NPI 1073763462
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1003174053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 CESAR CHAVEZ AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 CESAR CHAVEZ AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-268-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMUDIO",
"first_name": "VALERIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A120903",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4760 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.